Childhood Diseases

Posted by: Racoon | 2011-09-20


Re: 1 yo red large tonsils with fever

Dear Prof

I apologise - I see I failed to mention all of my son''s symptoms in my question to you. Guess thats the risk of this type of platform. He also had a very wet productive cough on Thursday, and by Friday developed some wheezing.

I am a bit confused about the sinuses though - as a physiologist I learned that the ethmoid and auxilliary sinuses are present at birth already, but that the sphenoid and frontal sinuses develop a few years later to adulthood? I also generally do not take my kids to the GP as they always come home with antibiotics. This time I emailed my pead and explained the symptoms to him asking whether I need to bring the little chap in. He agreed that it sounded like a secondary infection and he would most likely suggest antibiotics. I thus took him to the GP (to save money R570 vs R200) and he indeed prescribed antibiotics (as that practice always does). What frustrates me is that it seems as though the GPs in this practice in Stellenbosch seem to overprescribe antibiotics. That is why we only go there when it is clear that anitbiotics are needed. I am very thankful that our pead accepts emails and readily gives his opinion via email without charging. It becomes expensive with 3 young children. Anyhow, sorry for the very long post. And sincere apologies for not describing my son''s symptoms accurately.

Expert's Reply



Thanks for the explanation.You are correct the ethmoid sinuses are present at birth but these sinuses do not usually become infected in babies. The maxillary sinuses are tiny buds on either side of the nose in babies of 12 months and are unlikely to become infected at this age.The frontal sinuses usually appear by the age of 7 years.
Please give your baby a good probiotic now after his recent antibiotic treatment.

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